The indications for this procedure have broadened and
are now the same as with open procedures. They range from Idiopathic
Thrombocytopenic Purpura, unresponsive hemolytic anemia to staging
procedures and to Primary Splenic Cysts.
Our only restriction is excessively large spleens
(over 1000 gm.). We personally believe that the maneuvers used to
remove such large spleens do not warrant these procedures.
One should always remember, the spleen cannot be
resected in its integral anatomical form and is usually shredded. If there
is any need to preserve splenic integrity, then this procedure is not
indicated.
